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HomeMy WebLinkAbout2011-01-13 Form 460 - PS Fire ManagementFtecipient Committee Campaign Statement Cover Page Type or print in ink. Date Stamp CALIFORNIA 2001102 FORM (Government Code Sections 84200-84216.5) RECEIYE'"-~,,.1 .-----------------.---------------.t· 1---~ \1 JF pf.._ LM ... • : ... Statement covers period from 7-/-/0 SEE INSTRUCTIONS ON REVERSE through J 2 -j/-/0 1. Type of Recipient Committee: All Comm--Complllla Parts 1, 2, 3, and 4. D Officeholder, Candidate Controlled Committee D Primarily Fanned Ballot Measure O State Candidate Section Committee Committee O Recall O Controlled (Atso Complete Pan 5/ O Sponsored ~ General Purpose Committee ~Sponsored 0 Small Contributor Committee O Political Party/Central Commitlee 3. Committee Information (-C°""'le" Pad6l D Primarily Formed Candidate/ Offlceholder Committee (Also Complete Pad 7) ZIP_,.lJ,°DE _ • • AREA CODE/PHONE c.r -z. Z.h l.. / ERENT) ND. AND STREET OR P.O. BOX /7(, I STATE ZIP CODE AREA CODE/PHONE C:ti . '1 Z,(, $ 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the E>ceculed on /-/ '5 --/ / o. .. Date of election If appllcable: \Q {Month, Day, Year) 20\ \ J~N \ 3 M'\ : $age___ of __ _ For Official Use Only JAr"tE$ "fiWrfr';;.C CIT'i CLERK 2. Type of Statement: D Preelection Statement D Semi-annual Statement D Termination Statement {Also file a Fann 410 Tennination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURlf bL_Ot1 f?l.l""" ,fJr, ;.,t5 5 Cljli ~ • NAME OF ASSISTA7'~EASUR£R, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE • • ~ .. : •.. D Supplemental Preelection Statement • Attach Form 495 ZIP CODE • AREA ZIP CODE AREA CODEIPKONE Executed on -----~Date------- By _____________________________ _ SignaluragfCont.rcl!ng Officaholder, Candidate, State Measure Proponent orR-esponsille Officer of Sponsor E>cecuted on------."""'=------ Executed on ------::Oats,.,...------ By _____________________________ _ Sfgnature afControlling Offioehcklar, Candidate, Stam Maawre Propcnenl By ------=s;...,on""•"...,,.,-ot""c""o-ntrol,...,,,lin-g-=Olli=-ooh,..old.,..,..."""· ean=-d"'.,."'••-."'s1a""'1e""M""•-•--=p,.-.-... -n,,------- FPPC Fonn 460 (January/OSI FPPC Tol~Free H&lpHne: 866/ASK-FPPC (8661275-37721 State of California Type or print In Ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may ba rounded to whole do liars. Statement covers period from "7-/-/6 CALIFORNIA 4 6 0 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions .............................. .,......... .. Scheoole A, Une 3 $ 2. Loans Received ........................................ .............. Schedule B, Una 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddUnes 1 + 2 $ 4. Nonmonetary Contributions .................................... Schedule c. line 3 5. TOTALCONTRIBUTIONSRECEIVED ........................... AddUnes3+4 $ Expenditures Made 6. Payments Made ...... ................................................. Schedule E, Line 4 $ 7. Loans Made ......................... .... ................................ Schedule H. Line 3 8. SUBTOTALCASHPAYMENTS .................................... AddUnes6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... ScbeduleF. Line3 10. Non monetary Adjustment .......................................... Schedule c. Line 3 11. TOTALEXPENDITURESMADE ................................ Adc/Uness+s+10 $ Current Cash Statement 12. Beginning Cash Balance ....................... P,.,vious summary Page. Line 16 $ 13. Cash Receipts ................................... ................ Column A, Line 3 above 14. Miscellaneous Increases to Cash........................... Schedule 1, Une 4 15. Cash Payments.................................................. Column A, Line 8 above 16. ENDINGCASHBALANCE .......... AddUnes 12+ 13+ 14, thensubtlllClUne 15 $ If this is a tenninatian statement, Une 16 must be zero. 17. LOAN GUARANTEES RECEIVED . .......................... Schedule B, Pait 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ see instrucuons cm reverse $ 19. Outstanding Debts......................... AddUne2+Line 9in Column Babove $ ColumnA TOTAL TI-tlS PERIOD (FROM ATTACI-IEOSCHE;Oll.ES) 5l{tO) . ./ 'I through _,_/--=2'---'-?_/_,...._/_0_ Page ___ of __ _ Columns CALE:NCAR YEAR TOTALTOOATE $ $ $ $ $ $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER 11--tQ r-rrr Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 711 lo Date 20. Contributions Received $ ____ _ $ ____ _ 21. Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulatlve Expenditures Mada* (ti' Subject to Voluntary Expendttu:re Umlt) Date of Bectlon (mm/ddJyy) __)__) __ Total to Date $ _____ _ __)__)___ $ ____ _ *Amounts in this section may be different from amounts reported In Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Halpfina: 866/ASK-FPPC (8661275-3772) '> Schedule A Monetary Contributions Received Type or print In Ink. Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SaF..EMPlOYED, ENTER NAME OF BUSINESS) RECEIVED {IFCOMMITTEE.ALSOEr-lTERI.O.NUMBERJ CODE * Schedule A Summary 1. Amount received this period-itemized monetary contributions. •IND •COM DOTH •PTY •sec •IND •COM DOTH •PTY •sec •IND •COM DOTH •PTY •sec •IND •COM 00TH OPTY •sec •IND •COM DOTH •PTY •sec SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 460 FORM from 2-r-10 through _,/.__C_)_f_-_J_tJ_ Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) PER ELECTION T0DATE (IF REQUIRED) *Contributor Codes IND -Individual (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM -ReciJ)ient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ ______ _ 3. Total monetary contributions received this period. ~ lo • Bi (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ /f/1 tj, ~ , SCC-Small Contributor Committee FPPC Fonn 460 jJanuary/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule B -Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMIIITTEE. AL.SO ENTER 1.0. NUMBER) t • IND O COM O 0TH O PTY O SCC to IND O COM O 0TH O PTY O sec to IND O COM O 0TH O PTY O sec Schedule B Summary <IF SELF-EMPLOYED. ENTER NAME OF BUSINES~ Type or print In Ink. Amounts may be rounded to whole dollars. SUBTOTALS$ $ •PAID 0 FORGIVEN •PAID •FORGIVEN •PA>D 0 FORGi\lEN 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. •Amounts forgiven or paid by another party also must be reported on Schedule A. -If required. SCHEDULE B-PART1 Statement covers period CALIFORNIA 460 FORM from 2-~ /--j{) through /'2-J/-/ {) Paga ___ of __ _ $ $ DATEDUE DP.TE DUE DATE DUE $ (e) INTEREST PAID THIS PERIOD --" RATE __ .. RATE. --" RAT.E I.D. NUMBER (f) ORIGINAL AMOUNTOF LOAN DATE INCURRED $ ___ _ DP.TE INCURRED DATE INCURRED 111) CUMULATIVE CONTRIBUTIONS TO DATE CP.UENDAR YEP.R PER ELECTION- PER ELECTION- CALENDAR YEAR P:ER ELECTION- $ ___ _ (E-{e)on Schedule E Line 3} tContributor Codes IND -lndhlidual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Sma~ Contributor Committee FPPC Form 460 IJanuary/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) SCHBJULEE ScheduleE Payments Made fype or print In Ink. Amounts may be rounded to whole dollars. Statament covers period from 7-J ,-JO CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through /2-3/-/0 Paga ___ of __ _ NAME OF FILER I- CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise. describe the payment 0/P campaign paraphernalia/misc. IVl3R membercommunications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CIB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries eve civic donations PEr petition circulating TB.. t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expend~ure supporting/opposing others {explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign iterature and mailings PRr print ads VIEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE ,(If COMMITTEE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Mw2- • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ _____ _ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $----.---- 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ,/la)~ FPPC Fonn 460 (January/05) FPPC Tall-Free Helpline: 866/ASK-FPPC (866/275--3n2J Schedule.E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. I-/J)-<- Statement covers period from 7·-/-Jt) through / '2-5 /-J() CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page ___ of __ _ Cl\lP campaign paraphernaialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaiy)* OFC office expenses SAL campaign workers' salaries eve civic donations PEr petition circulating TEL t.v. or cable airtime and production costs Fll candidate filing/ballot fees PHO phone banks lRC candidate travel, lodging, and meals FND fundraising events POL polHng and survey research TRS stafffspouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)' POS postage, deliveiy and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional se,vices (legal, accounting) V0T voter registration LIT campaign lilerature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE {IF COMMITTEE. ALSO ENTER I.D. NUMBER) #okfL- • Payments that are contributions or independent expenditures must also be summarized on Schedule D. OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ A/(J}~ FPPC Form 460 IJanuary/051 FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-37721 Schedule I Miscellaneous Increases to Cash DATE RECEIVED /-(~-(( FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER l.O. NUMBER} Attach additional infonnation on appropriately labeled continuation sheets. Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ?-J--/CJ through /Z-3/-Jo DESCRIPTION OF RECEIPT SUBTOTAL$ ~~~:~~~= i~!r~::~;casl1 this period ........................................................................................................................ $ ---6~/_j __ 2. Unitemized increases to cash of under $100 this period ............................................................................................. $ _____ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ _____ _ 4. ~~t~l:~~~~a9n:,o~~~n~;~,a_~-~-~--l·~--~-~-~-~--~~-'.~ .. ~~~'.~~: .. ~~~~--~-i-~-~-~--~_' .. ~:.~~~--~----~~~~~--~-~~~-~-~-~--~-~--~~~---···· TOTAL $--~'~'~'-f .... · __ SCHEDULE I CALIFORNIA 460 FORM Page __ of __ I.D.NUMBER t-¾J2'M. AMOUNT OF INCREASETOCASH FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Staten,ant rov11rs period I : --;'_.I -/() h..:.-,;, _· .. __ ', ·r &-JrJ-/o through ---"Z---~---'--- 1. Type of Recipient Committee: All commlttaas-CompletePans 1, 2, J, and 4. O Officeholder, Candidate Controlled Committee O Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also comp1e1e Pert 5/ O Sponsored ~ GeneralPurposeComrnlltee '15-Sponsored (J SmaH Contributor Commtttee O Political Party/Central Committee 3. Committee Information 4. Verification (Ai.oComplolePa~6} O Primarily Formed Candidate/ Officeholder Committee (Also complete Pm 7J AREA CODE/PHONE Data Stamp . 4 f ~ .'..... _,:-, i i: CITY CU\\ 2. Type of Statement: D Preelection Statement O Semi-amual Slatement 0 Termination Slatement (Also file a Form 410 Temination) O Amendment (Explain below) Treasurer(s) MAILING ADDRESS CITY OPTIONAL, FAX I E-MAIL ADDRESS STATE O Quarterly statement 0 Special Odd-Year Report O SupplementalPreelection statement -Attach Form 495 ZIP CODE AREA CODE/PHONE I have used al reasonable diligence in preparing and reviewing this statement and lo the best of my knov.tedge the information contained herein and in the attached schedules is true and complete. I certify -=~"'" , ..... ;; .. -~""""' ........... : ... --~~ Dale Signab . .ira of Treasurer ar Assistant Treaurar Executed on _____ .,.Dale...------- Executed on-----.,._-.--_____ _ Executed on -----.,.Oats-:------- By ---,5"'11181__,.Ln-o"'IC,-oo..,.IJOl-,ling""' ""'0111=-ca..,.h"'oldat..-,&.iiiai.-.....,,..o,"'SG11s..,..M"'oas_u_ra.,Pr-op-,....-.-or""R,-es-pon-..~ble,,..,Olli"'1_cer_o""1s'"po_n_so_, __ By -------,si,i"'· --na-.-i...,=or"'c,-on-.-iro&,g.,,...""Ofllce="'m""lda"'r"",c"'a""ndi"'dal"'•.,.., s"'1a"'ta""Maasu'=""'..,"'P"'"'""po"'neo=1------ By -------,Sig.,.. --,,.-.-...,=o1"'C:-ontro=lin--. g""Offlcefuide==r,,-,,c"'a"'nc1"'c1at"'e:-,5:::1a:,18:-:M""ea"'°""'"'"'P"'roponen==,------ FPPC Form 480 (Januaryl05) FPPC Toll.free Helpllne: 8111/ASK-FPPC (8811/2754772) State ol Ca61amla ScheduleA Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars, C ElATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOWITTEE,ALSOENTE:R1.'D.NUMBER) CODE • IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMl'LOYEO. ENTER NAME OF BUSINESS) Schedule A Summary 1. Amount received this period-itemized monetary contributions. QIND •COM 00TH •PTY •sec •IND •COM 00TH •PTY •sec QJND •COM 00TH •PTY •sec •IND •COM 00TH QPTY •sec •IND •COM DOTH 0PTY •sec SUBTOTALS SCHEDULE A Statement covers period CALIFORNIA 460 FORM from __._I ----=-I -----1-1 O.;:;....__ through 6--30-/0 Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) PER ELECTION TO DATE (IF REQUIRED) •contributor Codes (Include all Schedule A subtotals.) .......................................................................... ,. ............................ $ _____ _ IND -Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY-Politicat Party 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ ______ _ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ sec-Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Hetp&ne: 866/ASK-FPPC {866/275-3n2) Schedule B-Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER !IF COMMITTEE, AlSO ENTER ID. NUMBER) to IND • COM • 0TH • PTY • sec to \NO • COM • 0TH O PTY • sec to IND O COM • 0TH • PTY • sec Type or print In ink. Amounts may be rounded to whole dolla,a. Statement covers period from / -/ -/ () IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) through &-lo-/ t) (b) (c) ou~~g~,m AMOUNT AMOUNT PAID 0~1&~~~? BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD THIS PERIOD• •PAID 0 FORGIVEN DATEDUE •PAID 0 FOR(llVEN DATEDUE •PAID 0 FORGIVEN OATE DUE SUBTOTALS S $ s $ $ $ (e) INTEREST PAJD THIS PERIOD __ % RATE __ % RATE __ % RATE (Enl&r(el on SCHEDULE B -PART 1 CALIFORNIA 460 FORM Page___ of __ _ 1.0. NUMBER ORIGINAL AMOUNTOF LOAN DATE INCURREO DATE INCURRED DATE INCURRED fg) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR PER ELECTION .. CALENOAR YEAR PER ELECTION..,. CALENDAR YEAR PER ELECTION .. Schedule B Summary Schedue E, lino 31 1. Loans received this period .................................................................................................................... $ ______ _ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ ______ _ (Total Column (c) plus loans under$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET sh b.-t!:- Enter the net here and on the Summary Page, ColumnA1 Line 2. ' (Maybeanevamrwmhltr) tcontributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee •Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDUL.EE ScheduleE Payments Made Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from /-/-/d CALIFORNIA 46 0 FORM SEE INSTRUCTIONS ON REVERSE through k-J(}-/ (') Page ___ of __ _ NAME OF FILER I.D.NUMBER I -/)-c_ 1-¾Q~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O.f' campaign paraphernalia/misc. MBR membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" CFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/balot fees PIO phone banks 1RC candidate travel, lodging, and meals FND fundraising events POL polling and suNey research lRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)* POS postage, deHvery and messenger services lSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional seNices {legal, accounting) VOT voter registration ur campaign literature and mailings PRT print ads WEB information technology costs (internet, e-maU) NAME AND ADDRESS OF PAYEE CODE OR: DESCRIPTION OF PAYMENT AMOUNT PAID (F COMMITTEE, ALSO ENTER I.D. NUMBER) ~07,.-,,-- * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ------ 2. Unitemizedpaymentsmadethisperiodofunder$100 .......................................................................................................................................... $ _____ _ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ -----,---.---- 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ .A/ lf1t-e--- FPPC Form 41!0 (January/05) FPPC Ton-Free Helpllne: 861i/ASK-FPPC {866/275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Slatem1mt covers period from /--1-1° through 6-5(}-/ () CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page ___ of __ _ I.D.NUMBER II CM' campaign paraphernalia/misc. lvl3R membercommunications RAD radio airtime and production costs CNS campaign consultants Mm meetings and appearances RFD returned contributions CTB contribution (explain nonmonet91Y)* CFC office expenses SAL campaign workers' salaries eve civic donations PEI' petitlon circulating 1B.. t.v. or cable airtime and production costs FL candidate filing/ballot fees Pl-0 phone banks 1RC candidate travel, lodging, and meals FflO fundralslng events POL polling and survey research TRS staff/spouse travel, lodging, and meals to independent expendHure supporting/opposing others (explain)' P05 postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads 11\EB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE (IF coMMmEE. ALSO ENTER to. NUMBER) //0),JL- I * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBT0TAL$~O FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule I Miscellaneous Increases to Cash DATE RECEIVED 6-';o-/O FULL NAME AND ADDRESS DF SOURCE (IF COMMITTEE, ALSO ENTE~ to, NUMBER) Attach additional information on appropriately labeled continuation sheets. Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from /-/-/() through 6-l cJ-/ tJ DESCRIPTION OF RECEIPT SUBTOTAL$ Schedule I Summary , z z 1. Itemized increases to cash this period ................ , ....................................................................................................... $ _____ _ 2. Unitemized increases to cash of under $100 this period ............................................................................................. $ _____ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ -------,- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 2, 't Summary Page, Line 14.) ........................................................................................................................... TOTAL $ _,,_ SCHEDULE I CALIFORNIA 460 FORM Page __ of __ I.D.NUMBER //-'Jcs:?'13'- AMOUNT OF INCREASE TO CASH ,. z~ FPPC Form 460 l,lanuary/05} FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print In Ink. Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statament covers period from /-f-/cJ SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions .•... .................. ........ ............ Schedule A, Line 3 $ 2. Loans Received .......... ....... ........... ........... ....... ........ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions ..................... ........ ....... Schedule c. Une 3 5. TOTALCONTRIBUTIONS RECEIVED ........................... AddLines3+4 $ Expenditures Made 6. Payments Made ............. .... ...................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTALCASHPAYMENTS .................................... AddLinesB+7 $ 9. Accrued Expenses (Unpaid Bils) ............................... Schedule F. une 3 10. Non monetary Adjustment .......................................... Schedule c, une 3 11. TOTAL EXPENDITURES MADE ................................ Add unes B + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance....................... PreviousSumma,yPage, Line 16 $ 13. Cash Receipts ............ ........ .................. ............. Column A, Line 3 above 14. Miscellaneous Increases to Cash ........... ................ Schedule 1, Line 4 15. Cash Payments.................................................. Column A, Line B above 16. ENDINGCASHBALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 $ If lhis is a termination stalement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED........................... Schedules, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ see instnrotions on reven,e $ 19. Outstanding Debts ......................... Adc/Line2+LJne9inColumnBabove $ ColumnA TOTAL THIS PERIOO (FROMATTACHEDSCHEDULES) $ $ $ $ $ $ through Columns CALENDAR YEAR TOTALTODATE To calculate Column B, add amounts in Column A lo the correspon<ling amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). ~-J{)-/d Calendar Year Summary for Candidate& Running in Both the State Primary and General Elections 1/1 lhrough 6130 711 to Date 20. Contributions Received $ ____ _ $ ____ _ 21. Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Pf Subject lo Vollntary ExpondHure Llml~ Date of Election (mm/dd/yy) __}__} __ Total to Date $ ____ _ __}___}__ $ ____ _ • Amounts ln this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll•fnHI Helpllne: 866/ASK-FPPC (8661275-3772)